Convention Registration | 42nd Annual SEANC Convention

📋 District Chair Information

Fill this section in once for your district. Then add each attendee below — up to 30 per submission.

District Number *

District Chairperson’s Name *

Chair’s Email Address *

Chair’s Phone Number

Membership IDs required. Each attendee’s SEANC Membership ID must be included. If you need to look up IDs, contact SEANC at 800-222-2758 or membership@seanc.org before submitting this form.

👥 Attendees

Attendees added: 1 / 30

Submitting registration for 1 attendee from District —. Double-check all entries before submitting. You cannot edit this form after submission — contact convention@seanc.org to make corrections.

Send me a copy of my responses

✓

Registration Submitted

Your district’s attendee room registrations have been received. Contact convention@seanc.org if you need to make any corrections.

🎰 Raffle, Hospitality & Banquet Tickets

One form per district. Reserve your hospitality suite, raffle table, and banquet tickets. Hospitality room assignments are not guaranteed.

District Contact

District # *

Contact Name *

Email Address *

Phone Number *

Form Date *

Raffle Table

Raffle Table? *

Hospitality Suite

Hospitality Suite Needed? *

Requested Room (not guaranteed)

Hospitality room assignments are not guaranteed and are subject to availability.

Banquet Tickets & Meals

Number of Banquet Tickets *

Ticket price TBD. Payment processed separately through your district.

Pescatarian Meals Needed

Vegetarian Meals Needed

Send me a copy of my responses

✓

Form Submitted

Your raffle, hospitality, and banquet request has been received. Contact convention@seanc.org with questions.